person
Mr. Timothy Ray Beverly, CDCA
Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio
NPI 1194211409

Timothy Ray Beverly is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Timothy Ray Beverly practices in Fairborn, OH and has the professional credentials of CDCA. The NPI Number for Timothy Ray Beverly is 1194211409 and holds a License No. 070488 (Ohio).

The current practice location address for Timothy Ray Beverly is 302 W Main St, Fairborn, OH and can be reached out via phone at 937-281-4673.

Location: 302 W Main St, Fairborn, OH, 45241-5427
person
Provider Profile Details
NPI Number
1194211409
Provider Name
Timothy Ray Beverly
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
302 W Main St, Fairborn, OH, 45241-5427
Phone Number
937-281-4673
Fax Number
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 W Main St
City
State
Zip
45324-5037
Phone Number
937-281-4673
Fax Number
person
Provider Business Mailing Address Details
Address
302 W Main St
City
State
Zip
45324-5037
Phone Number
937-281-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
070488 (Ohio)
Definition
Definition to come...
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